Individual
AUSTIN CHRONISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 W LISBON AVE, MILWAUKEE, WI 53205-1401
(414) 933-7600
Mailing address
2423 W LISBON AVE, MILWAUKEE, WI 53205-1401
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
70113442
WI
1710I1003X
Independent Duty Medical Technicians
—
—
Other
Enumeration date
04/09/2020
Last updated
07/06/2022
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